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HEALTH AT HOME MARGARET MOLLOY STRENGTHENING THE NATION’S HEALTHCARE SAFETY NET FOR 20 MILLION PATIENTS SINCE 1948, Direct Relief has provided medicines and medical supplies to improve the health of people in the U.S. and throughout the world. The simple goal of enabling people to live healthy, productive lives—regardless of the circumstances into which they are born or find themselves—is a powerful incentive. It drives Direct Relief’s work here at home, where Direct Relief USA is both the country’s largest nonprofit program providing free prescription medications and the PUERTO RICO only U.S. nonprofit program licensed to do so in all 50 states. More than 59 million people in the U.S. lack health insurance. Every day, more Americans are accessing quality, affordable preventive and primary care at local HAWAII nonprofit community clinics and health centers: the U.S. healthcare safety net. GIVING THANKS Direct Relief USA has delivered free medicines and medical supplies valued at over $225 million to 1,100 safety net clinics and health centers in all 50 states representing 20 million patients. This is made possible only because of the support of 79 healthcare companies, FedEx providing free distribution (5,000 deliveries in 2010), and the generosity of private donors. This is how Direct Relief USA is helping safety net clinics care for their low-income, uninsured patients: SAFETY NET SUPPORT “ IRECT RELIEF IS OF D INCREASING ACCESS TO MEDICATION FOR UNDERSERVED PEOPLE TREMENDOUS HELP TO OUR PATIENTS, EIGHTY-FIVE PERCENT REPLENISHMENT OF WHOM ARE WORKING PROVIDING A RELIABLE, NO-COST SUPPLY OF MEDICATION TO CLINICS POOR AND UNABLE TO OBTAIN MEDICATIONS. DIRECT RELIEF’S SUPPORT MAKES THE CARE OF EMERGENCY PREPAREDNESS AND RESPONSE THESE DESERVING PERSONS BUILDING RESOURCE CAPACITY OF CLINICS IN TIMES OF CRISIS POSSIBLE.” — ­ Dr. John Hoh, Medical Director, ­ Asian Pacific Health Care Venture, ­ Los Angeles, CA2 WWW.DIRECTRELIEF.ORG WINTER 2010 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

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ANDREW FLETCHER HELPING UNINSURED N OV E M B ER AWA R E N E I S D I A B ET E S PATIENTS WITH 1 IN 3 U. S. A S S M ON T H C O U L D D U LT S DIABETES DIABET HAVE IF HEAL ES BY 2050 TH TR CONTIN ENDS UE. PARTNERSHIPS OF PREVENTION –C DC, 201 0 WITH BD AND ROCHE In the United States, 23 million people—approximately eight percent of the population—have diabetes. Since this most recent economic crisis began, more than 8.2 million people have lost their jobs, and for many their health insurance along with it—455,000 of these people are estimated to have diabetes. To address this growing need, Direct Relief USA partnered with medical companies BD and Roche to launch nationwide programs to assist people with diabetes who have no insurance and are low-income. For patients with diabetes who lack health insurance and access to affordable medical care, obtaining the necessary diabetes testing supplies is a prohibitive expense. The inability to regularly check blood glucose levels could result in a number of serious, sometimes life-threatening, complications, like stroke, heart disease, and kidney disease. DIRECT RELIEF BD // BY THE NUMBERS • 5 million insulin syringes donated and distributed • ore than 560 clinics and health centers providing care to 4.2 M million patients (8.6% of whom are uninsured with diabetes) • ll 50 states + D.C. Puerto Rico A DIRECT RELIEF ROCHE // BY THE NUMBERS • 5 million in ACCU-CHEK® Aviva test strips and glucose meters $ donated and distributed • ver 200 clinics and health centers providing care to 1.8 million O patients (9.4% of whom are uninsured with diabetes) •32 states + D.C. ANDREW FLETCHER 5 FACTS from our nationwide survey of safety net clinics and health FOR THE FIRST SIX MONTHS OF 2009 COMPARED TO THOSE OF 2008… 1. f the 4.2 million patients O represented by the 562 responding clinics, nearly half were uninsured 2. Patients increased 7.9% 3. Uninsured patients increased 9.6% GIVING THANKS // FedEx GLOBAL PARTNER AWARD 2010 Direct Relief presented FedEx with the first ever Global Partner Award to recognize FedEx’s leadership in helping people around the world prepare for and respond to emergencies. Since 2003, FedEx has given Direct Relief $1.8 million in cash grants and JIM PROSSERcenters in all 50 states, transportation assistance, helped equip Medical Reserve D.C., and Puerto Rico* 4. 8.6% of all patients were Corps volunteers, readied clinic partners along the U.S. uninsured and had diabetes *Nationwide Survey of Patient Gulf Coast for hurricanes, and provided free shipping for Volume January–June 2009 5. Uninsured diabetic patients Direct Relief USA programs, including the BD diabetes compared to January–June 2008: Overall Patients and Patients increased 12.9% initiative detailed above. with Diabetes THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST WINTER 2010 WWW.DIRECTRELIEF.ORG 3

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CENTRAL COAST SAFETY NET GOLETA LOCAL HEALTHCARE PERSPECTIVES FROM SANTA BARBARA NEIGHBORHOOD CLINICS SANTA BARBARA ISLA VISTA Direct Relief USA supports more than 40 care providers in Santa Barbara County. We sat down with Bonnie Campbell, Deputy Director, and Neil Sullivan, M.D., Medical Director at the Santa Barbara Neighborhood Clinics (SBNC) to ask them about the clinic environment, and especially how diabetes is affecting their patient population. SBNC operates four sites, three medical and one dental.ROB WANG, ROBWANG.COM family. SBNC carefully tracks health SBNCs Dr. Neil Sullivan and outcomes by ensuring patients Bonnie Campbell receive with diabetes are coming in for all product from Direct Relief USAs Damon Taugher. their appointments and testing. Our podiatrist cares for their feet, as this is a significant problem area. Q. November is Diabetes Awareness month. How An ophthalmologist screens their ROB WANG, ROBWANG.COM many of your patients have been diagnosed with eyesight quarterly and in-house blood work is done to diabetes, and what are some of the initiatives that your test their hemoglobin A1c and Albumin levels. clinic has implemented to help these patients? A. Of our 17,000 patients, about 2,000 have been Q. What are some of the key accomplishments that diagnosed with diabetes or are pre-diabetic. Since their have resulted from the partnership between your clinic care is complex, frequent, and mediations and testing so and Direct Relief USA? SBNC Medical Director Dr. Neil Sullivan examines a young expensive, SBNC has created a Diabetes Management A. Direct Relief has been generous and responsive to patient at the Eastside Clinic in Santa Barbara. Program. Patients are given free one-on-one nutritional our patients’ needs over the years. While trying to provide therapy, a 10-week series of group classes, and family quality, comprehensive, and state-of-the-art health care Q. What are the biggest concerns for your clinics and counseling to address the significant life changes that to all our patients, it is imperative that we find resources what are your plans to address them? affect not just the patient diagnosed, but their entire for our underserved and uninsured patients to receive the A. Our biggest concern remains our necessity to maintain medications and supplies essential to providing proper financial stability so we can continue to address the care and maintenance of their conditions. We could not growing needs of the people of our neighborhoods. Our GIVING THANKS provide the quality of care to our patients with diabetes core population is growing at an alarming rate due to without the donations from Direct Relief. By joining unemployment and an increasing number of uninsured the Roche diabetes donation program, we can provide people in our community. While the challenges are glucose test strips for free to our patients, who would not enormous, the opportunity is now to take our 40 year- be testing as often as they should if they had to pay for old organization forward and follow a path to long-term ROB WANG, ROBWANG.COM them. This single program ensures exceptional health sustainability. We need partners like Direct Relief to help outcomes for our patients because they now have a way us achieve these goals. to track and manage their disease without having to chose between putting dinner on the table that night or buying test strips. “ ITH THE HELP OF CHARITABLE W ORGANIZATIONS SUCH AS DIRECT GIVING THANKS // Simpler Systems RELIEF, OUR CLINICS ARE ABLE TO CONTINUE TO PROVIDE BETTER HEALTH THROUGH OPEN DATA HIGH QUALITY, COMPREHENSIVE Direct Relief teamed up with Santa Barbara-based Simpler Systems to facilitate accessing HEALTHCARE TO SO MANY PEOPLE data on the Web. Simpler Systems provides a search engine for open data Direct Relief finds IN A MANNER THAT PROVIDES important, including facts about disease prevalence among 18 million patients who receive COMPASSION, PRIDE, AND DIGNITY care at 7,000 health centers across the country, or on Direct Relief shipments. This data helps FOR ALL INVOLVED.” Direct Relief identify and address health needs nationwide. — ­ Bonnie Campbell, Santa Barbara ­ EXPLORE THE DATASET: data.directrelief.org Neighborhood Clinics Deputy Director 4 WWW.DIRECTRELIEF.ORG WINTER 2010 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

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GIVING THANKS // Corporate Supporters ALISON WRIGHT FIGHTING THE CHOLERA OUTBREAK IN HAITI To fill the critical need related to the mid-October cholera outbreak in Haiti, Direct Relief provided 157 tons of emergency medical supplies. This provision of aid was possible thanks to the generous support of these companies: • bbott and the Abbott Fund provided A over 2,000 bottles of rehydration fluids and $50,000 in cash • nsell Healthcare contributed exam gloves A for helping to prevent further infection HAITI • axter donated four 40-foot containers B of IV solutions (over 36,000 liters) and sets used to administer the solutions • D donated 40,000 IV catheters, critically B needed in IV therapy for cholera patients • era Products, Inc. donated 9,000 liters of C CeraSport EX1 and provided significant charity discounts on CeraLyte ORS to restore essential life-giving electrolytes and fluidsThey survived the quake. • he Clorox Company donated 12,600 gallons TWe’re helping them survive what comes after. of bleach, essential for helping to prevent further infection • ovidien is donating up to 20 pallets of adult CIn Haiti, Direct Relief has been the largest provider of medicines and medical supplies since the tragic diapers for patients that do not have access toJanuary earthquake—$54 million and 550 tons of medical assistance to more than 53 hospitals, health cholera beds/cotsfacilities, responding organizations, and camps caring for injured and displaced people. • ohnson Johnson provided 1,000 J Backed by the massive generosity of private and corporate supporters, Direct Relief put hygiene kitstogether the most comprehensive emergency response in our 62-year history, much of the support • G committed several thousand units of P antibacterial soapairlifted free-of-charge by FedEx. Intense efforts, innovative new approaches, and key partnerships made • eva Pharmaceuticals donated over 5,000 Tthis unprecedented level of support possible. bottles of specifically requested antibiotics Working with colleague nonprofits, healthcare companies, and international and Haitianauthorities, Direct Relief introduced an online medical-supply ordering system to Haiti and establisheda secure medical distribution center. This is now a key supply lifeline to Haitian health facilities and pro- GIVING THANKS // Community Grantsvides transparency, efficiency, and precision in allocating and distributing medical resources. It is evenmore important now, as facilities confront a serious cholera outbreak and huge rebuilding efforts on top ST.of the daily challenges of providing care for people who get sick or hurt. RAPHAEL SCHOOL $54 MILLION, 550 TONS IN MEDICAL ASSISTANCE TO 53 HAITIAN HEALTHCARE PROVIDERS “ s a Haitian school psychologist, I have found A that the Earthquake left a direct psychological $ 2 MILLION IN CASH TO REHABILITATION PROGRAMS impact on young people who were in school at FOR THE DISABLED the time of the quake. Direct Relief gave us an opportunity to provide healing work for young people and provide tools for their teachers to $500,000 TO FUND SMALL, GRASSROOTS HAITIAN NONPROFITS continue to work with them in school. The funds from Direct Relief also provided the opportunity WHO ARE HELPING THEIR COMMUNITIES RECOVER to complete a community center to continue to provide therapeutic supports and access to healing for young people in Haiti. There is no other gift but providing hope and healing in a time of crisis. Thank you, Direct Relief, in assisting PRECISE MAPPING OF EVERY me in providing healing work for my DONATION SENT TO EVERY beloved Haiti.” CLINIC SITE IN HAITI. — Dr. Charlene Desir, St. Raphael School, St. Raphael, Haiti Interact with the ­ assistance map at ­ Watch video about the Direct Relief- DIRECTRELIEF.ORG supported students of St. Raphael School www.directrelief.org/Video/StRaphaelSchoolHaiti.aspx THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST WINTER 2010 WWW.DIRECTRELIEF.ORG 5